24D2296963 CLIA NUMBER - NEW HAVEN HOMECARE

Laboratory Demographics

  • CLIA Code: 24D2296963
  • Facility Name: NEW HAVEN HOMECARE
  • Facility Address: 12918 1ST STREET STE 130
    BECKER, MN
    ZIP 55308
  • Facility Phone: 763 400-1452
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DENNIS A. OBURE
  • NPI Number: 1902686744
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2296963
LAB Type Home Health Agency
Facility Name NEW HAVEN HOMECARE
Street 12918 1ST STREET STE 130
City BECKER
State MN
ZIP 55308
Phone 763 400-1452
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Home Health Agency
Lab Director DENNIS A. OBURE

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This page was last updated on: 9/29/2025